696-31019-76203
4 vaccinations
4 coded responses
43 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 080 / NJ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — day 7, dose 1MedDRA: Oral herpes, Rhinorrhoea — Feeling: GoodFree text: Fever blister and my nose keeps running. I thought it was my alergies causing the runny nose but my mother is experiencing the same symptom. We received the shot together.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Cough, Ocular hyperaemia, Seasonal allergy, Sneezing, Throat irritation — Feeling: GoodFree text: Right eye is red and sneezing and coughing with a tickle in my throat. I usually have seasonal allergies around this time of year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: My legs ache especially at bedtime.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-25
-
2021-12-04
Dose 3 — Moderna
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Injection site pruritus, Injection site rash, Self-medication — Feeling: GoodFree text: I developed a rash at the injection site of my booster. I took benadryl to stop the itching.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-04
- 2022-12-04
-
2022-12-19
Dose 4 — Moderna
- 2022-12-19
-
2022-12-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-12-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-12-22
- 2022-12-23
- 2022-12-24
- 2022-12-25
- 2022-12-26
- 2023-01-02
- 2023-01-09
- 2023-01-16
- 2023-01-23
- 2023-01-30
- 2023-03-20
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-12-19 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Fever blister and my nose keeps running. I thought it was my alergies causing the runny nose but my mother is experiencing the same symptom. We received the shot together.
Release 7 — day 42, dose 2
Symptoms: Right eye is red and sneezing and coughing with a tickle in my throat. I usually have seasonal allergies around this time of year.
Release 8 — 3 months, dose 2
Symptoms: My legs ache especially at bedtime.
Release 11 — 12 months, dose 2
Symptoms: I developed a rash at the injection site of my booster. I took benadryl to stop the itching.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release